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NORTH CAROLINA ADULT SOCCER

Insurance

NCASA is an affiliate member of the United States Adult Soccer Association (USASA) under the United States Soccer Federation (USSF).  One of the benefits of being a player in a sanctioned league is the availability of a supplemental accident insurance policy.

Players should file claims within 90 days from the date of the injury or the benefits may be denied due to untimely filing.  Note - you do not have to wait until you have all of your bills to submit the claim form.  Bills may be forwarded later with a copy of the original claim form.

For additional information on the benefits, download a Claim Form and follow the instructions to file your claim.

CLAIM FORMS MUST BE PROCESSED THROUGH YOUR LEAGUE AND SENT TO NCASA FOR APPROVAL.  Do not send a Claim Forms directly to the insurance company as it will be returned and will delay the process.

Instructions:

  • Complete the Claim Form.
  • Fill in the League name.  The State Association is NCASA. The Region is III. 
  • Obtain the signature (on page 2) of your Team Captain present at the match at the time of the accident.
  • Send the form to your League for signature.
  • Your League will validate that you are a current player and will sign the Claim Form.
  • Leagues should scan and email the form to [email protected] OR mail the form to NCASA, PO Box 18229, Greensboro, NC  27419.
  • NCASA will process the form and send it to the insurance provider.
  • The player will be contacted by the insurance provider once the claim is processed.

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NORTH CAROLINA ADULT SOCCER ASSOCIATION

 136 Manley Ave.
Greensboro, North Carolina 27407

Email Us: [email protected]
Phone : 336-856-0702
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